Hybrid treatment of thoracoabdominal aortic aneurysms with the use of a new prosthesis.

Abstract

We report the case of a 72-year-old woman with thoracoabdominal aortic aneurysm who underwent hybrid surgical and endovascular procedure. First, debranching of the aortic arch and implantation of a new multi-branched prosthesis with transdiaphragmatic celiac artery and superior mesenteric artery revascularization was performed. Two weeks later the procedure was successfully completed with aneurysmal exclusion by deployment of multiple stent grafts. The postoperative course was uneventful. A two-staged surgical and endovascular approach with the use of a new prosthesis reduces the risk of endoluminal graft endoleak and may constitute an attractive alternative to conventional surgery in management of high-risk thoracoabdominal aortic aneurysms.

• Authors: Giampiero Esposito, Antonino G M Marullo, Antonio R Pennetta, Samuele Bichi, Massimiliano Conte, Antonio M Cricco, Matteo Salcuni
• Journal: The Annals of thoracic surgery (Ann Thorac Surg) Vol. 85 Issue 4 Pg. 1443-5 (Apr 2008) ISSN: 1552-6259 [Electronic] Netherlands
• PMID: 18355551 (Publication Type: Case Reports, Journal Article)

Topics

• Aged
• Angioplasty (methods)
• Aortic Aneurysm, Abdominal (diagnostic imaging, surgery)
• Aortic Aneurysm, Thoracic (diagnostic imaging, surgery)
• Aortography (methods)
• Blood Vessel Prosthesis Implantation (methods)
• Celiac Artery (surgery)
• Combined Modality Therapy
• Dyspnea (diagnosis, etiology)
• Female
• Follow-Up Studies
• Humans
• Mesenteric Artery, Superior (surgery)
• Prosthesis Design
• Risk Assessment
• Severity of Illness Index
• Stents
• Treatment Outcome
• Vascular Patency (physiology)